JOSE GOMEZ

BOISE, ID
NPI1629505458
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy363A00000X Physician Assistant
(Licence: ID  PA-1485)
Enumeration Date2017-05-11
Last Update Date2019-06-20
Business Address
JOSE GOMEZ PA
1880 W JUDITH LANE
BOISE, ID 83705
Phone number: 208-302-5350
Mailing Address
JOSE GOMEZ PA
3025 W CHERRY LN STE B
MERIDIAN, ID 83642-8531
Phone number: 208-302-5350
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